HMM 162

September 10-13, 2009

Quantico, Virginia

Reunion 2009 Registration Form

 

Name: ______________________________________________________________________

 

Address: ____________________________________________________________________

 

City: _____________________________ State: _______________ Zip Code_____________

 

Telephone: ________________________Email Address: _____________________________

 

Nick Name: _______________________ What Date Will You Arrive: __________________

 

Names of Guest Attending: _____________________________________________________

_____________________________________________________________________________

 

What Years Did You Serve With HMM 162? ______________________________________

 

Reunion Dinner and Hooch Fee

 

The HMM 162 Reunion Dinner and Hooch fee is $75.00 per person. This fee covers the hooch expenses (food, snacks, room rental and all beverages), the HMM 162 reunion dinner buffet on Saturday, September 12, 2009. This fee does not cover drinks at the Reunion Dinner cash bar.

 

Number of people attending: __________ X Dinner & Hooch Fee at $75 per person

 

Total Amount of Registration Fee $______________________________________________

 

Make All Checks Payable to HMM 162 Reunion Fund

Note: Print this form, fill out and mail it along with your payment to:

 

Tom Stigliano

HMM 162 2009 Reunion

163 Glen Arden Circle

Washington, PA 15301